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Co-quantification of crAssphage increases confidence in wastewater-based epidemiology for SARS-CoV-2 in low prevalence areas
Author(s) -
Maxwell L. Wilder,
Frank A. Middleton,
David A. Larsen,
Qian Du,
Ariana Fenty,
Teng Zeng,
Tabassum Z. Insaf,
Pruthvi Kilaru,
Mary B. Collins,
Brittany Kmush,
Hyatt Green
Publication year - 2021
Publication title -
water research x
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.317
H-Index - 10
ISSN - 2589-9147
DOI - 10.1016/j.wroa.2021.100100
Subject(s) - wastewater , rna , covid-19 , population , biology , virology , environmental science , environmental health , medicine , environmental engineering , genetics , gene , disease , infectious disease (medical specialty)
Highlights• Ultracentrifugation with a sucrose cushion allowed sensitive detection of SARS-CoV-2 wastewater RNA. • Per capita levels of crAssphage were consistent across sites supporting its use as a surrogate for SARS-CoV-2. • Limits of quantification corresponded to daily positive tests as low as 0.37 per 10,000 people, depending on the area. • SARS-CoV-2 RNA signal strength is associated with increased COVID-19 cases in the following 7 days. • SARS-CoV-2:crAssphage ratios were significantly associated with COVID-19 cases.

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